Individual
NICKLAS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20616 E MCELROY, YALE, OK 74085-6462
(405) 614-4548
Mailing address
20616 E MCELROY, YALE, OK 74085-6462
(405) 614-4548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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